section name header

Pronunciation

peer-i-DOX-een

Classifications

Therapeutic Classification: vitamins

Pharmacologic Classification: water soluble vitamins

Indications

REMS


Action

  • Required for amino acid, carbohydrate, and lipid metabolism.
  • Used in the transport of amino acids, formation of neurotransmitters, and synthesis of heme.
Therapeutic effects:
  • Prevention of pyridoxine deficiency.
  • Prevention or reversal of neuropathy associated with hydralazine, penicillamine, or isoniazid therapy.

Pharmacokinetics

Absorption: Well absorbed from the GI tract.

Distribution: Stored in liver, muscle, and brain. Crosses the placenta and enters breast milk.

Metabolism/Excretion: Converted in RBCs to pyridoxal phosphate and another active metabolite. Amounts in excess of requirements are excreted unchanged by the kidneys.

Half-Life: 15–20 days.

Time/Action Profile

ROUTEONSETPEAKDURATION
PO, IM, IVunknownunknownunknown





Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Adverse reactions listed are seen with excessive doses only

Neuro: sensory neuropathy, paresthesia

Misc: pyridoxine-dependency syndrome

Interactions

Drug-drug:

Route/Dosage

Prevention of Deficiency (Recommended Daily Allowance)

Treatment of Deficiency

Pyridoxine-Dependent Seizures

Drug-Induced Neuritis

Isoniazid Overdose (>10 g)

Availability

(Generic available)

Assessment

Lab Test Considerations:

Implementation

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Neuro-K-250 TD, Neuro-K-250 Vitamin B6, Neuro-K-50, Neuro-K-500, Pyri 500, vitamin B6